DR. CHARLES MICHAEL GOODMAN MD
NPI 1538938519
Student in an Organized Health Care Education/Training Program in Camp Lejeune, NC

Q: What is Charles Goodman's NPI number?

The NPI number for Charles Goodman is 1538938519. It was assigned to this individual provider in the NPPES registry on January 1, 2024.

Q: What is Charles Goodman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Goodman was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 01, 2024PECOS Enrolled

100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-4408 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2025, Jan 1, 2024 (2 updates tracked since 2024).

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About Dr. Charles Michael Goodman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES MICHAEL GOODMAN MD (NPI 1538938519) is an individual student in an organized health care education/training program in Camp Lejeune, North Carolina and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538938519

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. CHARLES MICHAEL GOODMANCredential: MD

Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575

Mailing Address100 Brewster BlvdCamp Lejeune, NC 28547-2575

Phone(910) 450-4408

Sole ProprietorNo

Enumeration DateJanuary 1, 2024

Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1538938519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

100 BREWSTER BLVD, Camp Lejeune, NC 28547

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Michael Goodman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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